Y59-11603-33955
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 074 / NJ
- Registered
- 2020-12-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2020-12-23
Dose 1 — Pfizer-BioNTech
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2020-12-25
Registered in v-safe
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2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Influenza like illness, Pain, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Five hours after the injection on December 23, I started with severe chills and bodyaches. I did not take my temperature until the next morning on December 24. Throughout December 24 my temperature ranged between 103.6 and 103.9 Fahrenheit despite taking Tylenol. Basically the symptoms have been like a case of the bad flu. today December 25 it has now been a day and a half since the shot and my temperature has gone down. All symptoms are better but pretty much there were about 36 hours of severe flu like symptoms with high fevers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-25
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2020-12-29
- 2020-12-30
- 2021-01-06
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2021-01-13
Dose 2 — Pfizer-BioNTech
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2021-01-13
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, NauseaFree text: Vaccine was given an hour and a half ago. Symptoms are still mild. This is how it started with the previous dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-14
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-15
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-04-14
- 2021-07-14
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2021-12-29
Dose 3 — Pfizer-BioNTech
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2022-01-13
Survey response — day 14, dose 3MedDRA: Arthralgia, Hypoaesthesia, Hypoaesthesia oral, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Post booster: Joint/body pain & fevers of up to 104.3 x 2.5 days. Vomiting x 24 hrs. Numbness left side of face from temporal side of left eye down to chin including left side of lips - mild but still active.MedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Survey response — 12 months, dose 2MedDRA: Arthralgia, Dyspnoea, Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Post booster 12/29/21: 2.5 days of fever up to 104.3, joint & body pain. Vomiting x 24 hours. I am left with lingering mild shortness of breath. Also mild numbness left eye area down the cheek to the chin including left-sided lips. Very strange.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
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2022-03-30
Survey response — 3 months, dose 3MedDRA: Bundle branch block left, Bundle branch block right, Thyroid cancer — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Rt. bundle branch block & Left Anterior fascicular block (noted in March 2021 after both Pfizer Covid vaccines were given) Thyroid cancer - new DX.MedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-03-31
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2022-03-31
Call successfulCompleted over the phone
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2022-07-01
Survey response — 6 months, dose 3MedDRA: Surgery, Thyroid cancer — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Thyroid cancer · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-07-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2022-07-05
Call successfulReported to VAERS during previous contact from GDIT
- 2022-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech | |
| 3 | 2021-12-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-25 | priority 2/3 | |
| 2021-01-14 | priority 2/3 | |
| 2021-01-15 | priority 2/3 | |
| 2022-03-30 | Successful 2022-03-31 |
Completed over the phone |
| 2022-07-01 | Successful 2022-07-05 |
Reported to VAERS during previous contact from GDIT |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Five hours after the injection on December 23, I started with severe chills and bodyaches. I did not take my temperature until the next morning on December 24. Throughout December 24 my temperature ranged between 103.6 and 103.9 Fahrenheit despite taking Tylenol. Basically the symptoms have been like a case of the bad flu. today December 25 it has now been a day and a half since the shot and my temperature has gone down. All symptoms are better but pretty much there were about 36 hours of severe flu like symptoms with high fevers.
Release 1 — day 0, dose 2
Systemic reaction (other): Vaccine was given an hour and a half ago. Symptoms are still mild. This is how it started with the previous dose.
Release 10 — 12 months, dose 2
Symptoms: Post booster 12/29/21: 2.5 days of fever up to 104.3, joint & body pain. Vomiting x 24 hours. I am left with lingering mild shortness of breath. Also mild numbness left eye area down the cheek to the chin including left-sided lips. Very strange.
Release 10 — day 14, dose 3
Symptoms: Post booster: Joint/body pain & fevers of up to 104.3 x 2.5 days. Vomiting x 24 hrs. Numbness left side of face from temporal side of left eye down to chin including left side of lips - mild but still active.
Release 11 — 3 months, dose 3
Symptoms: Rt. bundle branch block & Left Anterior fascicular block (noted in March 2021 after both Pfizer Covid vaccines were given) Thyroid cancer - new DX.
Release 12 — 6 months, dose 3
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Surgery | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bundle branch block left | · | · | ✓ |
| SD | Bundle branch block right | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Hypoaesthesia eye | · | · | ✓ |
| SD | Hypoaesthesia oral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Thyroid cancer | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release